|Publication number||US5931165 A|
|Application number||US 08/795,744|
|Publication date||Aug 3, 1999|
|Filing date||Feb 6, 1997|
|Priority date||Sep 6, 1994|
|Publication number||08795744, 795744, US 5931165 A, US 5931165A, US-A-5931165, US5931165 A, US5931165A|
|Inventors||Cary J. Reich, Donald G. Wallace, Greg Dapper|
|Original Assignee||Fusion Medical Technologies, Inc.|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (59), Referenced by (173), Classifications (38), Legal Events (6)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This application is a continuation-in-part of Provisional Application Ser. No. 60/028,807, filed on Oct. 16, 1996 now abandoned; and is a continuation-in-part of application Ser. Nos. 08/673,710, filed on Jun. 19, 1996 now abandoned; 08/481,712 filed on Jun. 7, 1995 now U.S. Pat. No. 5,690,675; and Ser No. 08/303,336, filed on Sep. 6, 1994 now U.S. Pat. No. 5,749,895. The full disclosures of each of these applications are incorporated herein by reference.
1. Field of the Invention
The present invention relates generally to collagen and gelatin compositions and methods for their preparation and use. In particular, the present invention relates to a gelatin film having characteristics suitable for application to tissue for a variety of purposes.
The use of biological materials for the sealing of wounds and other defects in tissue as well as the inhibition of tissue adhesion has been proposed. For example, the use of collagen patches for closing wounds and creating an anastomoses has been suggested in U.S. Pat. Nos. 5,071,417; 5,156,613; 5,209,776. U.S. Pat. No. 5,156,613, is assigned to the Assignee of the present application, and describes the immobilization of collagen-containing patch material to tissue using radio frequency and laser energy.
Numerous procedures and materials have been proposed to minimize or eliminate post-surgical adhesions. Such procedures include introducing barrier materials such as metals, polymers, and natural materials over the target site. A woven material of regenerated cellulose is currently marketed for this purpose by Johnson & Johnson under the trademark Interceed®. A film of hyaluronic acid is also available under the trademark Seprafilm™ (Genzyme Corp, Cambridge, Mass.) This product, however, is not attached to tissue and remains unfixed in vivo. Other polymeric materials that have been tried for this purpose include nylon, cellophane, PTFE, polyethylene, siloxane, elastomers and polylactic acid copolymer films. Many of these materials are not biodegradable and therefore, remain in the body with unpredictable and potentially undesirable consequences.
Of particular interest to the present invention, gelatin or collagen films have been applied to tissue for tissue sealing. Specific gelatin materials are described in parent application Ser. Nos. 08/303,336 and 08/481,712, the full disclosures of which have previously been incorporated herein by reference.
To be effective for use over tissue in order to seal the tissue, prevent adhesion, or for any other purpose, collagen or gelatin films should possess a number of characteristics. They should be sufficiently thin so that they can be effectively bonded to the underlying tissue by the subsequent application of energy. They should be sufficiently pliable so that they can conform to the tissue, further enhancing bonding to the tissue upon subsequent application of energy. They should possess low moisture, enhancing their preservation and permitting rehydration upon application to tissue. They should be sufficiently elastic, still further enhancing conformability to tissue. They should be sufficiently strong so that they can be bonded to tissue and can provide the desired sealing after bonding. They should possess melting temperatures which facilitate fusion and bonding to tissue upon the application of energy. Different embodiments of the present invention will meet at least some of these objectives.
2. Description of the Background Art
WO 93/17669 describes particular hydrogel materials that may be applied to tissue, cross-linked by exposure to UV, and relied on for inhibiting tissue adhesion. U.S. Patents relating to materials and methods for inhibiting tissue adhesion include U.S. Pat. Nos. 5,422,376; 5,410,016; 5,380,536, 5,366,735; 5,364,622; 5,365,883; 5,321,113; 5,266,326; 5,264,540; 5,194,473; 5,156,839; 5,135,751; 5,134,299; 5,126,141; 5,068,225; 5,017,229; 4,937,270; 4,937,254; 4,911,926; 4,889,772; 4,674,488; and 4,603,695. Published PCT applications relating to materials and methods for inhibiting tissue adhesion include WO 95/15747; WO 95/15343; WO 95/09883; WO 94/24962; WO 94/21324; WO 94/08635; WO 94/02517; WO 93/16687; WO 93/13137; WO 92/22312; and WO 92/21354. Published European applications relating to materials and methods for inhibiting tissue adhesion include 669 138; 645 150; 610 731; 608 921; 608 139; 426 368; 416 250; and 372 969. Other patents relating to applying energy to fusible materials to wound treatment include U.S. Pat. No. 5,071,417; U.S. Pat. No. 5,156,613; and U.S. Pat. No. 5,209,776. Co-pending related applications assigned to the assignee of the present application include U.S. Ser. Nos. 08/303,336; 08/461,227; 08/461,228, 08/481,712; and 60/011,898, the full disclosures of which are incorporated herein by reference. Application Ser. Nos. 08/303,336 and 08/481,712, were published on Mar. 14, 1996, as WO 96/07355 and WO 96/07356, respectively.
The present invention provides improved film compositions composing gelatin and/or collagen are useful for a variety of purposes, including immobilization over tissue for tissue sealing and/or inhibition of tissue adhesion. The films are characterized by a film thickness in the range from 0.03 mm to 0.2 mm, preferably being from 0.055 mm to 0.075 mm, and a pliability in the range from 1.0 mN to 4.0 mN, preferably from 2 mN to 3.5 mN. In addition to these two characteristics, the gelatin films will be further characterized by at least one characteristic selected from the group consisting of (1) a moisture content in the range from 11% to 16%, preferably from 13% to 15%, (2) an elasticity in the range from 30% to 150%, preferably from 40% to 130%, (3) a tensile strength in the range from 150 N/cm2 to 260 N/cm2, preferably from 170 N/cm2 to 2502 N/cm, (4) a melting temperature in the range from 33° C. to 40° C., preferably from 34° C. to 37° C., (5) a collagenase digestion time in the range from 10 minutes to 40 minutes, preferably from 15 minutes to 35 minutes, and (6) a degree of swelling (V/Vo) in the range from 4.5 to 6.5, preferably from 5 to 6. Such films may be cross-linked or non-cross-linked, preferably being cross-linked. The gelatin films may further be granular or non-granular, preferably being granular. Still further, the films may comprise a plasticizer or be free from plasticizers. The films will preferably comprise mostly or entirely gelatin, with collagen being present at less than 10% by weight, more preferably less than 1% by weight. Preferred gelatin films according to the present invention will be cross-linked, granular, and include a plasticizer, as described in greater detail below.
In an alternative aspect, gelatin and/or collagen films according to the present invention comprise a sheet of granular, cross-linked gelatin and/or collagen (preferably gelatin) having a plasticizer content in the range from 5% by weight to 40% by weight, and a thickness in the range from 0.030 mm to 0.2 mm. Such films will usually consist essentially of gelatin and/or collagen, preferably gelatin, and the plasticizer, more preferably where the gelatin has been produced from collagen and residual collagen may be present to a low level, typically below 30% by weight, preferably below 1% by weight. Suitable plasticizers include polyethylene glycol, sorbitol, glycerine, and the like. The preferred plasticizer is polyethylene glycol with an average molecular weight of 400 (PEG 400), present in the film from 5% by weight to 40% by weight.
In yet another aspect, the present invention provides packages comprising gelatin or collagen films as described above present in a container. The container maintains the sterility and moisture of the film, so that the films are ready for surgical use immediately upon being removed from the containers. Virtually any type of sterile medical container would be suitable, with sterile pouches formed from moisture-impermeable materials, such as spun olefin, mylar, and the like, being exemplary.
In yet another aspect of the present invention, a method for sealing tissue comprises positioning the film as described above over a target region in tissue. Energy is then applied to the film while positioned over the region in an amount sufficient to immobilize the film on the tissue. The target region will typically be a surgical site, and the target tissue be any of a wide variety of tissue types such as muscle, skin, epithelial tissue, connective or supporting tissue, nerve tissue ophthalmic and other sense organ tissue, vascular and cardiac tissues, gastrointestinal organs and tissue, pleura and other pulmonary tissue, kidney, endocrine glands, male and female reproductive organs, adipose tissue, liver, pancreas, lymph, cartilage, bone, oral tissue, mucosal tissue and the like. The methods will be particularly useful for treating surgical sites in a target region, where the surgical site may be open or may have been sutured, stapled, or otherwise closed prior to permitting the tissue surface to engage an adjacent tissue surface. The method of the present invention for positioning the gelatin or collagen film over a surgical site is intended primarily for sealing the site or for inhibiting or preventing the occurrence of tissue adhesions between adjacent tissue surfaces. As used hereinafter and in the claims, the terms "inhibiting", and "inhibition" will denote both total inhibition (i.e. prevention) and partial inhibition of adhesion.
The methods of the present invention can rely on the application of energy from a wide variety of sources, including electromagnetic energy, particularly electric energy, e.g. radio frequency (RF) energy and microwave energy, infrared (heat) energy, and ultraviolet energy; optical energy, e.g. laser; mechanical energy, e.g. ultrasonic; and the like. Preferred is the use of RF energy which can be provided by conventional electrosurgical power supplies operating at frequencies typically in the range of 200 kHz to 1.2 MHz. Particularly preferred is the use of RF energy applicators which provide a uniform, dispersed energy flux over a defined area, such as inert gas beam RF energy sources, more particularly argon beam RF energy sources. Standard electrocautery devices could also find use.
The energy is applied in a pattern and manner suitable to immobilize the gelatin and/or collagen film over the target region so that the film remains in place while the tissue surface heals. In the case of preformed films, sheets, and the like, it is necessary only to selectively apply energy to local areas (e.g. spots, lines, etc.) on the matrix material surface in order to "tack" the material to the underlying tissue. That is, in the region where energy has been applied, the film will bond or otherwise fuse to the underlying tissue. In other regions, however, the film will not be bound directly to the tissue, but will remain immobilized as a result of those areas where the film or sheet of material is bound. For example, the energy may be applied about the periphery of the preformed film or sheet in order to attach the edges of the sheet to tissue. Additional locations within the periphery may also be tacked by applying spots or other small areas of energy to the material. It will also be possible to apply the energy uniformly to the film or sheet, thus resulting in substantially uniform bonding of the material to underlying tissue.
The methods of the present invention may be performed in conventional open surgical procedures, i.e. where access to internal body tissues and/or organs is provided through a relatively large percutaneous surgical incision which permits the introduction of conventional surgical instruments. The gelatin and/or collagen films of the present invention may thus be introduced by the surgeon while directly viewing the target region through the incision and manipulating the film using conventional graspers and the like. Alternatively, the methods of the present invention for sealing tissue may be performed via less invasive surgery, e.g. laparoscopically, thoracoscopically, arthroscopically, or the like. Such procedures typically rely on forming small percutaneous penetrations and accessing the target region through cannulas placed within such penetrations. The target region is viewed through an associated viewing scope. In both open surgical procedures and less invasive procedures, the films will typically be cut into a desired configuration and dimensions prior to application over the tissue.
In yet another aspect of the present invention, gelatin and/or collagen, preferably gelatin films are prepared by combining collagen and a plasticizer in an aqueous solution. Preferably, the collagen is at from 60% by weight to 95% by weight, preferably from 70% by weight to 90% by weight, and the plasticizer is present at from 5% by weight to 40% by weight, preferably from 8% by weight to 20% by weight. The solution is then heated to a temperature and for a time sufficient to convert the collagen to gelatin, preferably with at least about 90% by weight of the collagen being converted. Usually the solution will be heated to a temperature in the range from 65° C. to 75° C., preferably about 70° C. for a time in the range from 40 minutes to 60 minutes, preferably about 50 minutes. The converted solution is then formed into a thin layer and dried to produce a film. The film is then cross-linked, typically by exposure to radiation, such as ultraviolet radiation at a power from 100 mJ/cm2 to 7000 mJ/cm2, preferably from 2800 mJ/cm2 to 4000 mJ/cm2. The methods may further comprise packaging the films in sterile, moisture-type containers, where the moisture is maintained in the range from 10% to 17%, preferably from 11.5% to 16% by weight.
FIG. 1 illustrates the dimensions of test films used to measure the force in the Experimental section below.
FIGS. 2A-2D depict the DSC of various tissues and granular film. Heating rate: 5° C./min. for FIG. A and 10° C./min. for FIGS. 2B, C, and D. FIG. 2A: Granular film. 1.2 mg film at 11% moisture plus saline to 13 mg total, enthalpy of denaturation, 15.7 J/g. FIG. 2B: Beef muscle; 11 mg hydrated. FIG. 2C: Porcine lung pleura; 9 mg hydrated. d. Porcine lung pleura and parenchyma; 8.5 mg hydrated. Films were hydrated m 0.9% aq. sodium chloride.
FIG. 3 shows the melting temperature as a function of moisture content for non-granular film.
FIGS. 4A-4C. Non-granular film properties as a function of the degree of cross-linking. FIG. 4A: Swelling (V/Vo) as a function of cross-linking time in UV. FIG. 4B: Collagenase digestion time vs. swelling (V/Vo). FIG. 4C: Peak melting temperature in DSC vs. (V/Vo). Approximate errors in swelling ratio, collagenase digestion time, and DSC melting temperature were 3%, 18%, and 3%, respectively.
FIGS. 5A-5C. FIG. 5A: Granular film after attachment to beef heart tissue by the argon beam coagulator. An untreated region of the film is visible in the lower part of the figure. Holes created in the film by the argon beam are darker, lighter areas of film are evident between holes. FIG. 5B: Film as in FIG. 5A removed from the beef heart. Holes in film clearly visible. FIG. 5C: Beef heart muscle underlying argon-beam treated film. Lighter areas are coagulum. Darker regions appear to be unaffected by the beam; i.e. these areas have the same appearance as untreated beef heart. Images from Bausch and Lomb Stereo Zoom 7 dissecting microscope at 30×.
FIGS. 6A-6C. Bonding of apposed films pressed between heated brass blocks. All tests were on granular films, cross-linked with UV light for 20 min. Points marked with a vertical arrow represent films which failed cohesively at that force; i.e. the peel bond strength was higher than the measured point. FIG. 6A: Peel bond strength vs. hydration, smooth side to smooth side apposition, 100° C., 20 sec. FIG. 6B: Peel bond strength vs. weld time, smooth side to smooth side, 110° C., V/Vo =3±0.5. FIG. 6C: Peel bond strength vs. weld temperature, V/Vo =3±0.3, 30 .sec, smooth side to smooth side, 0; rough side to rough side, Δ. Errors in measurements can be inferred from the scatter; they were of the order of 0.1 to 0.2 N/cm.
FIG. 7 illustrates a gelatin film according to the present invention packaged in a sterile surgical package.
As used hereinafter and in the claims, the term "gelatin" refers to denatured collagen. Gelatin is a heterogenous mixture of high molecular weight water-soluble proteins, usually obtained by heating aqueous solutions of collagen or collagen-containing materials, such as skin, tendons, ligaments, etc. Gelatins may be commercially obtained from suppliers, such as Hormel foods, (Austin, Minn.). Preferably, the gelatin films of the present invention will be prepared by heating aqueous solutions of at least partially purified collagens, as described in detail in the Experimental section hereinafter. Collagen may be obtained from commercial suppliers, such as Kensey Nash (Type F, Exton, Pa.). A preferred collagen starting material is Type F collagen obtained from Kensey-Nash corporation.
As used hereinafter and in the claims, the terms "film" refers to sheet, layer, membrane, patch, or other generally planar configuration of the gelatin material. The films, or at least a substantial portion thereof, will have a thickness in the range from 0.01 mm to 0.20 mm, preferably from 0.04 mm to 0.08 mm. The thickness will usually be uniform, but not necessarily so. That is, the film thickness may vary within the aforestated ranges, and certain portions of the film may have thicknesses outside of these ranges, where the portions having such non-conforming thicknesses will generally not be intended for application to tissue. That is, they may be intended merely to facilitate handling of the films, or for other purposes. Film thickness may be measured by conventional means, such as a Mitutoyo Thickness Gauge Model, IDC Mitutoyo Corp., Japan or by weighing the film and calculating the thickness given the surface area of the film and the film density.
As used hereinafter and in the claims, the term "pliability" refers to the force required to bend the film through a defined distance. Pliability is measured in units of milliNewtons (mN), and specific methods for measuring pliability are set forth in the Experimental section hereinbelow.
As used hereinafter and in the claims, the phrase "moisture content" refers to the amount of water present in the gelatin films after preparation. The moisture content will be in the range from 10% by weight to 17% by weight, preferably being in the range from 11.5% by weight to 16% by weight. Moisture content can be measured in a variety of ways, such as weight loss on drying. The relatively dry collagen films of the present invention will typically hydrate when applied to tissue. The capability of the films hydrating may be assessed by the "degree of swelling" which is defined as V/Vo, where Vo is volume when dry and V is volume when fully hydrated. The gelatin films of the present invention have a degree of swelling of at least 4.5, usually being in the range from 4.5 to 6.5, preferably in the range from 5 to 6.
As used hereinafter in the claims, the term "elasticity" refers to the percent strain at failure as described in detail in the Experimental section hereinafter.
As used hereinafter in the claims, the phrase "tensile strength" refers to the force required to induce tensile failure in the film. Tensile strength is measured in Newtons (N/cm2) and particular methods for measuring tensile strength are set forth in the Experimental section hereinafter.
As used hereinafter in the claims, the phrase "melting temperature" refers to the denaturation temperature (DSC peak), i.e. the temperature at which the gelatin components of the gelatin and/or collagen films denature. Specific techniques for measuring such melting temperatures are set forth in the Experimental section hereinafter.
As used hereinafter in the claims, the phrase "collagenase digestion" refers to digestion of the protein films in a collagenase enzyme solution. Film samples having a particular size are placed in a collagenase solution having a particular activity. The time necessary for disintegration of the film samples is then determined. Specific techniques for measuring collagenase digestion times are set forth in the Experimental section hereinafter.
The gelatin and/or collagen films of the present invention may be cross-linked or non-cross-linked. The films are preferably cross-linked in a conventional manner, typically by exposure to radiation, such as ultraviolet (UV) radiation for a time and at a power level sufficient to achieve a desired level of cross-linking. Preferably, the films are cross-linked sufficiently to enhance tensile strength, handling characteristics, and resistance to degradation in the surgical environments in which they are used, without being cross-linked to the extent that the ability to fuse the films to underlying tissue is diminished.
The gelatin and/or collagen films of the present invention may also be granular or non-granular. By "granular" it is meant that the solution of denatured collagen has not been filtered or centrifuged prior to casting into films. Typically, the granular films will include collagen particles having a size greater than 0.01 mm, usually greater than 0.1 mm, prior to the heat conversion to gelatin. In contrast, non-granular gelatin films will be produced by filtration or by centrifugation of the collagen solutions to remove particles having sizes above 0.1 mm, usually above 0.03 mm, prior to film formation. Granular collagen films have been found to possess a significantly greater tear strength. Granular films are generally preferred for use as sealants because, for example, they shrink less with application of energy. Non-granular films are generally preferred to use as anti-adhesive barriers.
The gelatin and/or collagen, preferably gelatin, films of the present invention will preferably further include plasticizers, such as polyethylene glycol, sorbitol, glycerine, or the like. The plasticizers may be combined with the collagen solutions prior to heating and conversion to gelatin. The plasticizers enhance the pliability of the resulting gelatin films. The preferred plasticizer is polyethylene glycol having a molecular weight of about 400 which is present in the gelatin film at from 5% by weight to 40% by weight.
The films of the present invention may be applied to tissue using energy of a type and in an amount sufficient to fuse the gelatin material to underlying tissue. Suitable energy sources include electromagnetic energy, particularly electrical energy, e.g. radio frequency (RF) energy and microwave energy, infrared (heat) energy, and ultraviolet energy; optical energy, e.g. laser; mechanical energy, e.g. ultrasonic; and the like. Preferred are the use of RF energy sources, such as those available as electrosurgical power supplies from companies such as Valleylab, Boulder, Colo., and Birtcher Medical Systems, Irvine, Calif., employing conventional RF-applying probes. Particularly preferred are radio frequency energy sources which provide for a dispersed or distributed current flow from a hand-held probe to the tissue. One such radio frequency energy source referred to as an inert gas beam coagulator, relies on flow of an inert ionizable gas, such as argon, for conducting current from the probe to the tissue.
Energy from the energy source will typically be manually directed to the fusible material overlying the tissue using a probe connected to an external power supply. The treating physician will manually direct the probe to apply energy over the surface of the fusible material and will visually confirm that fusion has been achieved. The probe may use conventional electrosurgical power supplies having an energy output from 2 W to 100 W, preferably from 20 W to 60 W. The fusible material will typically be exposed to the energy for a total time from about 5 seconds to 120 seconds, usually from 10 seconds to 40 seconds, for material having an area from 1 cm2 to 10 cm2. The precise timing will depend on the physician's visual assessment that fusion of the material to the underlying tissue has been achieved.
Films according to the present invention may be prepared by first combining a collagen starting material, e.g. a commercial grade of collagen, with a plasticizer in a aqueous solution. Collagen starting materials may be obtained from any of the commercial sources listed above, and the preferred polyethylene glycol 400 plasticizer may be obtained from, for example, Polysciences, Inc., Warrington, Pa. The collagen is typically present at from 70% by weight to 90% by weight and the plasticizers present in from about 8% by weight to 20% by weight. Collagen and plasticizer are combined in a sterile water source, such as distilled water, deionized water, or the like. To prepare non-granular collagens, the collagen suspension may be filtered or centrifuged after heating as described in detail in the Experimental section hereinafter.
After the optional homogenization step, aqueous solution is heated to a temperature and for a time efficient to convert collagen largely or completely to gelatin. Typically, the solution is heated to a temperature in the range from 65° C. to 75° C., preferably about 70° C., for a time in the range from 40 minutes to 60 minutes. Any conventional heating vessel may be used for this reaction.
After heating and conversion of the collagen to gelatin, the solution is dried and formed into a film, preferably by pouring the solution into an appropriate receptacle, usually a square or rectangle. The solution may be dried at room temperature or an elevated temperature, preferably at room temperature at a moderate humidity, e.g. RH 50%. The films are then preferably cross-linked as described above.
Referring now to FIG. 7, a gelatin film 10 according to the present invention may be packaged in any conventional sterile packaging, such as a sterile pouch 12 comprising a moisture-impermeable material, such as mylar film. Such sterile packages are ready for use by the treating physician in the surgical environment.
The following examples are offered by way of illustration, not by way of limitation.
Film materials were produced as follows:
Formulation A: 451 g grams of collagen (Kensey Nash Type F) Exton, Pa.) and 90 g of PEG 400 MW were added with 4500 mL WFI in a 5 liter reaction vessel. The solution was stirred and heated to 70° C. for 50 minutes. The material was then homogenized for 50 minutes at 20,000 RPM, using a Virtis Cyclone IQ2 (Gardner, N.Y.) with a 20 mm flow-through head. The solution was filtered through a 100 μm polypropylene mesh. Water was added to adjust the percent solids to 3.8% (W/W). The solution was cooled to 35° C., and aliquots of 13 mL were cast into 100×15 mm sterile square polystyrene petri dishes. The gelled solution was dried at approximately 20° C. and 50% RH to form films with water content of 11-15% W/W. The films were cross-linked with 3500 mJ/cm2 in a SPECTROLINKER XL1500 UV cross-linker equipped with 254 nm low pressure mercury bulbs.
Formulation B: 156.0 grams of collagen (Kensey Nash Type F) Exton, Pa.) was added to 18.1 lg of PEG 400 MW and 1500 ml WFI in a 2 liter reaction vessel. The solution was stirred and heated to 70° C. for 50 minutes. The material was then homogenized, filtered, and adjusted as in Formulation A above. The solution was then cooled to 35° C., and aliquots of 13 mL were cast into 100×15 mm sterile square polystyrene petri dishes. The solution was dried at approximately 20° C. and 50% RH to form films. The films were cross-linked with 3500 mJ/cm2 in a SPECTROLINKER XL1500 UV cross-linker equipped with 254 nm low pressure mercury bulbs.
Formulation C: 36.1 g of collagen (Kensey Nash Type F) were dispersed with 960 ml WFI and 3.6 g PEG 400 MW and heated at 70° C. for 50 min. The dispersion was then homogenized as described in Formulation A and B. The homogenized dispersion without filtration or addition of water was cooled to 35° C. and cast into gels, dried, and cross-linked with 3000 mJ/cm2 as described above.
Formulation D: 58.8 g of collagen as above were dispersed with 1850 ml WFI and 7.2 g PEG 400 MW and heated at 70° C. for 50 min. The formulation was then homogenized as in A & B above. The homogenized dispersion without filtration or the addition of water was then cooled to 35° C. and aliquots of 14.7 ml were cast into 100×1 mm sterile square polystyrene petri dishes. The gelled solution was dried as above, then cross-linked with 3300 mJ/cm2 as above.
The formulations are summarized in Table 1 below.
TABLE 1______________________________________ Plasticizer UV Xlinked inFormulation Collagen % by weight mJ/cm2______________________________________A Kensey Nash PEG 400 3500 collagen 35% 65%B 89.6% 10.4% 3500C 90% 10% 3000D 89% 11% 3300______________________________________
Ten physical characteristics of the test film formulations were measured as follows.
A Mitutoyo Thickness Gauge Model, IDC Mitutoyo Corp., Japan was used to determine the thickness of collagen/gelatin films. Using the release cable or the lifting lever, the thicknesses at each corner and at the center of the film were measured, for a total of 5 measurements on each film.
2. PERCENT SWELL
The amount of saline absorbed by collagen/gelatin during a 22±1 hour incubation was determined as follows. Saline solution (0.9% w/w; 5 mL) was added to each scintillation vial containing a test sample. The films were hydrated for 22±1 hours at 20-25° C. The degree of swelling was expressed as V/Vo, where V is the hydrated volume (weight) and Vo is the dry volume (weight).
3. DENATURATION TEMPERATURE (DSC PEAK)
The denaturation temperature of the collagen/gelatin components of the test films and collagen raw material were determined using a DSC 2910 Differential Scanning Calorimeter (DSC), TA Instruments, New Castle, Del. 1.0-3.0 mg of film sample plus 0.9% w/w sodium chloride and hermetically sealed. Heating rates were 5° C./min. or 10° C./min. Peak temperatures and enthalpy of melting were recorded.
The pliability of each collagen/gelatin film was determined as follows. The force required to bend the collagen/gelatin film through a defined distance was measured, and the bending modulus calculated from the equation given in the Machinery's Industrial Press, Inc., NY, 21st Edition, 1980. A film sample was placed in the clamp on a Swiss Height Gauge so that 8 mm of patch was free. The force required to bend the patch through a deflection of 2 mm was measured.
5. TEAR TEST
The forces required to propagate a tear in the collagen/gelatin films were calculated using a 3.8×2.5 cm rectangular piece from the test film having the shape and dimensions shown in FIG. 1. The force to tear between tabs A and B was measured using a Chatillon tester (TDC 200 test stand fitted with 250 g or 2.25N load cell, DGGS 250 g digital force gauge).
6. and 7. TENSILE STRENGTH AND STRAIN AT FAILURE
Tests were performed with a Chatillon TCD 200 fitted with a digital force gauge (Chatillon Instruments, Greensboro, N.C.), connected to an XY plotter. Film samples were typically 1×3 cm and were glued to polystyrene tabs with cyanoacrylate (Superglue). Films and tabs were hydrated for precisely 1 min. in 0.9% (w/w) saline and blotted briefly. The plastic tabs were clamped in the jaws of the tester, which assured that tensile failure occurred within the sample and not at the point of clamping. Stress was computed as force in Newtons divided by the original cross-sectional area (determined from thickness and width of test films); percent strain at failure was Δl/lo ×100 where Δl is the change in length and lo is the original sample length.
8. LOSS ON DRYING
Weight loss on drying of collagen/gelatin films, raw material collagen, slurries, and solutions were determined by placing the test samples into an oven which had been set at 120° C.±5° C. The sample remained in the oven for at least 20 minutes after the oven had reached its set temperature. Percent loss on drying was calculated using the following formula ##EQU1## Percent solids was calculated using the following formula ##EQU2## 9. COLLAGENASE DIGESTION
Film samples were cut into disks 6 mm in diameter, using a steel punch. Such disks typically weighed 2-3 mg and were between 0.04 and 0.07 thick. The sample disks were placed in 2.0 ml of a digestion buffer (Tris-HCl, pH 7.5, 0.05M, containing 0.005M CaCl2) plus 120 ul of a Clostridial collagenase solution. The collagenase was prepared at 300 units/ml in 0.05M Tris-HCl, pH 7.5, containing 0.0005M CaCl2. Enzyme units were as given by the manufacturer, based on hydrolysis of furylacryloyl-Leu-Gly-Pro-Ala. The level of enzyme was sufficient to be in excess for all film samples taken. The sample in buffer and enzyme was incubated with shaking at 37° C. until the sample disk disintegrated, which was scored as digestion time.
The results of these tests are summarized in Table 3 below.
10. PEEL STRENGTH
Measurements were performed on films (2×3 cm) to which polystyrene tabs had been bonded using cyanoacrylate glue (prior to bonding with the argon beam). The polystyrene was approximately 0.5 mm thick, and a hole approximately 4 mm in diameter was punched in the free edge. To measure bonding of the film, the tab was hooked (through the hole) to a digital force gauge (Omega model DFG51-2, 2 lb load cell, Omega Engineering, Inc., Stamford, Conn.). With the patch under no tension, the gauge was set to zero force, and then the gauge was raised manually at a rate of approximately 1 cm/sec to effect a peeling detachment of the film. The gauge was lifted until the film was separated from the tissue. The maximum force registered during the peeling operation was recorded as Newtons of force per cm width of film. Films were welded to warm excised tissue, such as porcine lung or bovine heart muscle using an argon beam coagulator ABC 6400 (CONMED, Ithaca, N.Y.). Peel strength measurements were typically commenced 3 minutes after welding to tissue.
The results of these tests are summarized in Table 2 below.
TABLE 2______________________________________TEST METHOD A B C D______________________________________1. Thickness(mm) 0.046 0.049 0.062 0.0552. Swelling (V/V0) 4.2 6.1 6.4 4.23. DSC Peak(° C.) 35.5 35.2 35.4 35.14. Pliability(mN) 1.5 3.2 2.8 N/A5. Tear test(N) 0.018 0.019 0.08 0.106. Tensile strength at 174 361 242 309.1 failure (N/cm2)7. Strain at failure(%) 44 97 121 1158. Loss on drying(%) 11.9 15.5 13.6 12.79. Collagenase 42 18 22 N/A digestion(min)10. Peel strength(N/cm) N/A N/A 0.12 N/A______________________________________
Three additional formulations were produced according to the methods set forth in Example 1. These formulations were tested according to the methods set forth in Example 2 and had similar results. The formulations had various starting ratios of collagen and PEG and are summarized in Table 3 below.
TABLE 3______________________________________COLLAGEN (%) PEG 400 MW (%)______________________________________91 980 2067 33______________________________________
Tissue welding with argon beam coagulator and peel strength measurements on porcine lung in vitro were performed as follows. Film samples were placed on the tissue of interest, typically porcine lung (see below) or beef heart slices (purchased from a local market.) The tissue of interest was placed in contact with the return electrode of the argon beam coagulator, usually on the underside. Immediately upon placing on the tissue, the film began to hydrate. Welding was preferably performed within 20 sec after placing on tissue, since bonding was a function of film hydration. The spark discharge from the tip of the coagulator was then directed onto a patch at a distance of a few mm between tip and film. The coagulator was typically set at 40 W of power and 2-4 liters/min. of argon gas flow. Other settings were explored, but the strength of the bond achieved was less. The spark discharge was maintained for 2-5 sec per cm2 of film. Application of the argon spark was terminated when the film became desiccated or showed signs of carbonization.
The porcine lung model for in vitro welding tests was as follows. Porcine lung was received on ice from a slaughterhouse, usually within a day of slaughter. The lung was divided at the main bronchus, and one side was used for each test series. A tube was fitted to the largest bronchus, and air was pumped into the lung using a pump (Air Cadet Model 7059-42, Cole-Parmer Instruments, Niles, Ill.) to achieve inflation. The lung was housed in a chamber of clear acrylic, which was mounted on a heated platform. The air pressure lines were also passed through a heated circulating bath. Heated 0.9% aq. sodium chloride was sprayed on the lung tissue at intervals. Tissue temperatures were maintained between 29° C. and 40° C., preferably between 37° C. and 40° C.
To demonstrate that bonding can be achieved by the application of additional energy sources, films were bonded with a heated brass platen. The test device utilized was constructed as follows. Brass blocks with an exposed contact area of 1 cm2 were placed in contact. The lower block was connected to a digital heating controller, which permitted temperature control within 1° C. The upper block was connected to a lever arm to which weights could be attached to vary the compressive force between the blocks. Heating was first applied with the upper and lower blocks in contact. The upper block was heated by conduction from the lower. Two film samples (1 cm×2 cm) were glued to plastic tabs, as described above for tensile testing. The films were then hydrated in 0.9% aq. sodium chloride to achieve a hydration ratio (V/Vo) of approximately two, placed in contact with their edges aligned, wrapped in one layer of aluminum foil (0.02 mm thick), and placed between the blocks, which had been equilibrated to a pre-set temperature between 80° C. and 120° C. The foil wrapper prevented the films from sticking to brass blocks. Heating of the apposed, hydrated films was conducted for 10 to 30 seconds. Approximately 100 g of compressive force (1N) was applied during the weld. At the completion of the weld, the apposed film samples were removed from the foil wrapper, mounted in the tensile test apparatus, and the force to peel apart was measured within 5 to 20 min. At the time of the peel test, the sample was at room temperature and the hydration level (V/Vo) was still approximately two.
Table 2 summarizes the properties of granular films prepared by the process of the present invention. Non-granular films were similar. The melting temperatures in DSC confirmed that the collagen had been converted to gelatin during the extended heating step (see below). Resistance to collagenase and the high swelling percentages were consistent with cross-linked gelatin resulting from UV treatment. Films were quite thin to enhance pliability, which was critical for good apposition to irregular tissue sites. Granular films were somewhat opaque in appearance, had a roughened texture on the upper surface, and contained fibrous inclusions up to 1 mm in diameter when viewed in a light microscope. Non-granular films were transparent, were smooth both on upper and lower surfaces, and possessed no inclusions greater than a few microns in diameter.
The DSC of the cross-linked gelatin of the present invention was compared with that of known collagen and gelatin samples. Kensey-Nash fibrous collagen hydrated with 0.9% sodium chloride to 9-10% solids showed a single major endotherm with a peak melting temperature of 55.7° C.±1.2° C. (n=3; mean and standard deviation) and enthalpy of denaturation 51.8±3.3 J/g. Dynagel gelatin hydrated and tested as above exhibited a broad endotherm with peak temperature 35.3° C.±1.1° C.(n=3) and enthalpy of denaturation of 38.5±4.4 J/g. Because films may be hydrated to different extents on tissue as a function of time of tissue contact, we also examined the effect of hydration level on peak melting temperature (FIG. 3). Film characteristics were greatly affected by the extent of cross-linking (FIG. 4). In general, films swelled less, resisted collagenase more, and melted at higher temperatures as the degree of cross-linking increased.
During welding on porcine lung or on beef heart, the film changed in appearance, becoming more opaque and melting and shrinking to a limited extent in response to the thermal energy. Tissue underneath the patch was also "melted" or denatured. The material of the patch and the tissue appeared to have intermingled or flowed together during the application of the argon beam. Immediately upon cessation of argon treatment, the temperature of the weld site declined rapidly and returned to that of the surrounding tissue within seconds, resulting in a coagulum, or congealed mixture, of the two components. The fusion of tissue and film elements was easily observed when the bonded film was peeled away from the tissue, the film-tissue interface being visualized in a dissecting microscope at 10-20×. In some regions of the film, congealed tissue protein appeared to have penetrated into holes in the film and solidified there, creating a mechanical bond (FIGS. 5A, 5B, and 5C). Tissue appeared to be denatured to a depth of 0.2 to 0.7 mm, depending on the duration of energy application and the power setting. DSC of lung and heart tissue showed that these tissues have components which denature over a wide range of temperatures from 50° C. to 150° C. (See, FIGS. 2B, 2C, and 2D.) Although it is difficult to determine the temperature of tissue subjected to the argon beam, vaporization of water is evident, and for long exposures, points of carbonization appear, which suggests temperatures above 100° C. in localized domains. The range of peel bond strengths for Formulation C obtained after 3 min. on irrigated tissue was 0.12±0.05 N/cm (mean and standard deviation n=6). Tissue was wet but not flushed with 0.9% aq. sodium chloride. A jet or spray of saline solution was applied within about 10 sec after completion of the weld. Occasionally, underlying tissue was torn (failed cohesively) as the film was peeled off. Tests in which welded films were not disturbed for up to one hour (with continued periodic irrigation) showed that the bond was maintained and the film was intact.
The films described above were the result of multiple trials, in which film properties were varied. It was observed that films less than about 0.04 mm thick were easy to weld, but they partially disintegrated during the application of the argon beam, and they failed cohesively in peel bond tests. Films greater than 0.2 mm thick presented a conductive barrier to the argon beam, and the spark could only find a conductive path at the edge of the film. As a result, such films were only bonded to tissue at the edges, and once the edge bond was broken, they were readily detached from the tissue. Apposition to tissue appeared to be essential for achieving a good bond. The effect of UV cross-linking was also examined. Films which were not cross-linked bonded very well and with a shorter duration of argon beam application. Such films, however, had poor cohesive strength during peel tests. Films which were cross-linked longer than about 40 minutes resulting in about 4000 mJ/cm2 or greater as used herein had good cohesive strength but exhibited weaker bond strengths or no bonding. The degree of film hydration on the tissue was also an important variable. Kinetic swelling experiments on hydrated tissue and in physiological saline showed that films hydrated to V/Vo =1.5 to 2 (corresponding to 30 and 50% moisture) within 10-30 sec on tissue, depending on the frequency of irrigation. At hydration levels near this value, e.g. from V/Vo =1.5 to 2.5, good bonding was achieved. At higher hydration levels, e.g. V/Vo =4-6, which occurred after 2-4 min. on the tissue, bonding was much poorer. The ideal duration of application of the argon beam was about 2-5 sec/cm2 for granular films with the properties given in Table 2. For non-granular films between 0.04 and 0.06 mm thick, 1-3 sec/cm2 gave better bonds. For films which were thicker or more granular (less homogenization) or more highly cross-linked, the optimal weld duration was 5-7 sec/cm2. Power settings higher than 40 W tended to cause disintegration of films and deeper denaturation of tissue. Lower power settings were not possible with the Birtcher coagulator. With other argon beam instruments which permitted lower power, it was found that melting and intermingling of film and tissue were inadequate to produce a satisfactory bond. Granularity of films also affected the optimum welding time. Granular films required longer energy application times compared to non-granular films. Non-granular films had poor cohesive strength during peel test experiments, compared to granular films.
It should be noted that spurious results can be obtained in vitro if the tissue is too cold or too dry. Peel strengths up to 1.0 N/cm may be observed. However, if the tissue is maintained near physiological temperature and hydration (simulating in vivo application) such high peel bond strengths are not observed.
Initial studies using hot brass platen devices were performed to determine approximate conditions for bonding of apposed non-granular films. Films were hydrated to V/Vo =1.5 to 2.5 (to simulate ideal film hydration during argon beam welding) and heated for 20 sec over a range of temperatures. Films were judged to be bonded if they remained adherent after at least 20 min. of agitation in 0.9% sodium chloride at 37° C. Welding temperatures were varied from 70° C. to 120° C. in 10° C. increments. Stable bonds were formed between 100° C. and 120° C. Above 110° C., films began to disintegrate during heating. An examination of the effect of degree of hydration on bonding showed that a minimum moisture content was required; i.e. V/Vo values of 1.3 or greater were necessary to effect a bond. ("Dry" films were in equilibrium with atmospheric humidity and contained 9-14%; V/Vo =1.1). Above V/Vo =2, the bond stability (film-to-film adherence in 37° C. saline) appeared to decrease.
Peel strengths of the bonds were also tested. This was only partly successful, since the film cohesive strength was not much greater than the peel bond strengths created. Nevertheless, the same general trends were observed; namely, hydration levels between V/Vo =1.5 and 2.5, temperatures between 90° C. and 110° C., and weld durations between 20 and 30 sec (for a 1 cm2 area) gave the best results (FIGS. 6A-6C). Low temperatures, short weld times, and hydration levels below V/Vo =1.5 and above V/Vo =2.5 gave weak bonds or no bonds. At high temperatures or long weld times, the films began to disintegrate. Granular films required longer weld times and higher temperatures to achieve stable and strong bonds, compared to non-granular films.
Other biomaterials in sheet or sponge form were tested as follows. All tests described below were on porcine lung. Various sheet-form materials were tested; commercially available gelatin sponges (Superstat®) or collagen fibrous mats (Avitene®) did not form bonds to tissue. Calfskin, cross-linked or not, curled extensively under application of the argon beam and apposition to tissue was lost, preventing bond formation. Sheets of oxidized cellulose (Surgical®), intended for prevention of surgical adhesions, disintegrated upon application of the argon beam. Sheet stock of implantable grade polypropylene, polyethylene, silicone, and Gortex® Soft Tissue Patch were unsuitable. Holes were created in the sheets if they were thin enough, but no bonding resulted. Meshes and fluted tubes of the above materials and of Dacron®, intended for vascular grafts or hernia repair, were also unsatisfactory.
Although the foregoing invention has been described in detail for purposes of clarity of understanding, it will be obvious that certain modifications may be practiced within the scope of the appended claims.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US4378017 *||Mar 11, 1981||Mar 29, 1983||Kureha Kagaku Kogyo Kabushiki Kaisha||Composite material of de-N-acetylated chitin and fibrous collagen|
|US4453939 *||Feb 11, 1982||Jun 12, 1984||Hormon-Chemie Munchen Gmbh||Composition for sealing and healing wounds|
|US4603695 *||Jun 29, 1984||Aug 5, 1986||Japan Medical Supply Co., Ltd.||Use of molded polymeric material for preventing adhesion of vital tissues|
|US4674488 *||Mar 4, 1985||Jun 23, 1987||American Hospital Supply Corporation||Method of treating bone fractures to reduce formation of fibrous adhesions|
|US4854320 *||Jun 16, 1987||Aug 8, 1989||Laser Surgery Software, Inc.||Laser healing method and apparatus|
|US4889722 *||Feb 19, 1988||Dec 26, 1989||Ethicon, Inc.||Method for inhibiting post-surgical adhesion formation by the topical administration of tissue plasminogen activator|
|US4911926 *||Nov 16, 1988||Mar 27, 1990||Mediventures Inc.||Method and composition for reducing postsurgical adhesions|
|US4937254 *||Jan 26, 1988||Jun 26, 1990||Ethicon, Inc.||Method for inhibiting post-surgical adhesion formation by the topical administration of non-steroidal anti-inflammatory drug|
|US4937270 *||Sep 18, 1987||Jun 26, 1990||Genzyme Corporation||Water insoluble derivatives of hyaluronic acid|
|US4973466 *||Jun 21, 1988||Nov 27, 1990||Chiron Ophthalmics, Inc.||Wound-healing dressings and methods|
|US5017229 *||Jun 25, 1990||May 21, 1991||Genzyme Corporation||Water insoluble derivatives of hyaluronic acid|
|US5053388 *||Jun 25, 1990||Oct 1, 1991||Chiron Ophthalmics, Inc.||Wound healing composition and method|
|US5068225 *||Aug 10, 1990||Nov 26, 1991||Mdr Group, Inc.||Viscoelastic fluid for use in surgery and other therapies and method of using same|
|US5071417 *||Jun 15, 1990||Dec 10, 1991||Rare Earth Medical Lasers, Inc.||Laser fusion of biological materials|
|US5124155 *||Sep 17, 1990||Jun 23, 1992||Chiron Ophthalmics, Inc.||Fibronectin wound-healing dressings|
|US5126141 *||Aug 10, 1990||Jun 30, 1992||Mediventures Incorporated||Composition and method for post-surgical adhesion reduction with thermo-irreversible gels of polyoxyalkylene polymers and ionic polysaccharides|
|US5134229 *||Dec 13, 1990||Jul 28, 1992||Johnson & Johnson Medical, Inc.||Process for preparing a neutralized oxidized cellulose product and its method of use|
|US5135751 *||Dec 12, 1989||Aug 4, 1992||Mediventures Incorporated||Composition for reducing postsurgical adhesions|
|US5156613 *||Feb 13, 1991||Oct 20, 1992||Interface Biomedical Laboratories Corp.||Collagen welding rod material for use in tissue welding|
|US5156839 *||Jun 14, 1990||Oct 20, 1992||Mdr Group, Inc.||Viscoelastic fluid for use in spine and general surgery and other surgery and therapies and method of using same|
|US5171318 *||Jan 21, 1992||Dec 15, 1992||Chiron Ophthalmics, Inc.||Treated corneal prosthetic device|
|US5194473 *||May 21, 1990||Mar 16, 1993||Mitsui Toatsu Chemicals, Inc.||Modified polyester composition and preparation process and use thereof|
|US5201745 *||Aug 15, 1991||Apr 13, 1993||Imedex||Visceral surgery patch|
|US5209776 *||Jul 27, 1990||May 11, 1993||The Trustees Of Columbia University In The City Of New York||Tissue bonding and sealing composition and method of using the same|
|US5259998 *||Oct 4, 1991||Nov 9, 1993||Chiron Ophthalmics, Inc.||Method for casting dissolvable ophthalmic shields in a mold|
|US5264540 *||Jul 20, 1992||Nov 23, 1993||Ethicon, Inc.||Aromatic polyanhydrides|
|US5266326 *||Jun 30, 1992||Nov 30, 1993||Pfizer Hospital Products Group, Inc.||In situ modification of alginate|
|US5274028 *||Dec 6, 1990||Dec 28, 1993||Baxter International Inc.||Polyvinyl pyrrolidone-grafted coatings on preformed polymers|
|US5281660 *||Nov 5, 1992||Jan 25, 1994||Corning Incorporated||Method of attaching dialdehyde starch to a surface and products produced by that method|
|US5321113 *||May 14, 1993||Jun 14, 1994||Ethicon, Inc.||Copolymers of an aromatic anhydride and aliphatic ester|
|US5356883 *||Jul 28, 1992||Oct 18, 1994||Research Foundation Of State University Of N.Y.||Water-insoluble derivatives of hyaluronic acid and their methods of preparation and use|
|US5364622 *||Oct 13, 1993||Nov 15, 1994||Dr. Karl Thomae Gmbh||Methods for preventing adhesions to organs and parts of organs by application of tissue plasminogen activator and hydroxyethylcellulose hydrogel|
|US5366735 *||Nov 17, 1992||Nov 22, 1994||Mediventures, Inc.||Method and composition for post-surgical adhesion reduction|
|US5380536 *||Aug 5, 1991||Jan 10, 1995||The Board Of Regents, The University Of Texas System||Biocompatible microcapsules|
|US5410016 *||Mar 1, 1993||Apr 25, 1995||Board Of Regents, The University Of Texas System||Photopolymerizable biodegradable hydrogels as tissue contacting materials and controlled-release carriers|
|US5422376 *||May 11, 1994||Jun 6, 1995||Webb; Bradford C.||Synthetic viscoelastic material for ophthalmic applications|
|US5503638 *||Feb 10, 1994||Apr 2, 1996||Bio-Vascular, Inc.||Soft tissue stapling buttress|
|US5690675 *||Jun 7, 1995||Nov 25, 1997||Fusion Medical Technologies, Inc.||Methods for sealing of staples and other fasteners in tissue|
|EP0372969A1 *||Dec 7, 1989||Jun 13, 1990||JOHNSON & JOHNSON PATIENT CARE, INC.||Low molecular weight heparin, heparinoid and hexuronyl hexosaminoglycan sulfate containing adhesion prevention barrier and process|
|EP0416250A2 *||Jul 16, 1990||Mar 13, 1991||The Research Foundation Of State University Of New York||N-acylurea and O-acylisourea derivatives of hyaluronic acid|
|EP0426368A2 *||Oct 24, 1990||May 8, 1991||Howmedica Inc.||Compositions containing derivatives of chitin for preventing adhesion|
|EP0608139A1 *||Jan 20, 1994||Jul 27, 1994||Ethicon Inc.||Elastomeric medical device|
|EP0608921A2 *||May 24, 1990||Aug 3, 1994||MITSUI TOATSU CHEMICALS, Inc.||Modified polyester composition and preparation process and use thereof|
|EP0610731A1 *||Jan 27, 1994||Aug 17, 1994||United States Surgical Corporation||Post-surgical anti-adhesion device|
|EP0645150A1 *||Sep 29, 1994||Mar 29, 1995||Hercules Incorporated||Medical devices subject to triggered disintegration|
|EP0669138A2 *||Feb 13, 1995||Aug 30, 1995||Research Development Foundation||Amniotic membrane graft or wrap to prevent adhesions or bleeding of internal organs|
|WO1992020349A1 *||May 19, 1992||Nov 26, 1992||Genzyme Corporation||Water insoluble derivatives of polyanionic polysaccharides|
|WO1992021354A1 *||May 29, 1992||Dec 10, 1992||Gliatech, Inc.||Methods and compositions based on inhibition of cell invasion and fibrosis by anionic polymers|
|WO1992022312A1 *||Jun 17, 1992||Dec 23, 1992||Wadstroem Jonas||Tissue treatment composition comprising fibrin or fibrinogen and biodegradable and biocompatible polymer|
|WO1993013137A1 *||Dec 8, 1992||Jul 8, 1993||Howmedica Inc.||Process for insolubilizing n-carboxyalkyl derivatives of chitosan|
|WO1993016687A1 *||Mar 1, 1993||Sep 2, 1993||Board Of Regents, The University Of Texas System||Gels for encapsulation of biological materials|
|WO1993017669A1 *||Mar 1, 1993||Sep 16, 1993||Board Of Regents, The University Of Texas System||Photopolymerizable biodegradable hydrogels as tissue contacting materials and controlled-release carriers|
|WO1994002517A1 *||Jul 28, 1993||Feb 3, 1994||Anika Research, Inc.||Water-insoluble derivatives of hyaluronic acid and their methods of preparation and use|
|WO1994008635A1 *||Oct 22, 1993||Apr 28, 1994||Materials Technology Consultants Limited||Biodegradable polymer implant materials|
|WO1994021324A1 *||Mar 23, 1994||Sep 29, 1994||Focal, Inc.||Apparatus and method for local application of polymeric material to tissue|
|WO1994024962A1 *||Apr 28, 1994||Nov 10, 1994||Focal, Inc.||Apparatus and methods for intraluminal photothermoforming|
|WO1995009883A1 *||Oct 5, 1994||Apr 13, 1995||Board Of Regents, The University Of Texas System||Multifunctional organic polymers|
|WO1995015343A1 *||Dec 1, 1994||Jun 8, 1995||Marine Polymer Technologies, Inc.||POLY-β-1→4-N-ACETYLGLUCOSAMINE|
|WO1995015747A1 *||Dec 9, 1994||Jun 15, 1995||Board Of Regents, The University Of Texas System||Local delivery of fibrinolysis enhancing agents|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US6391939||Feb 5, 1998||May 21, 2002||Imedex Biomateriaux||Collagenic material useful in particular for preventing post-operative adhesions|
|US6680063||Oct 6, 2000||Jan 20, 2004||Providence Health System-Oregon||Biocompatible albumin lamina and method|
|US6902561 *||Mar 21, 2003||Jun 7, 2005||Intralase Corp.||System and method for improved material processing using a laser beam|
|US6939348||Oct 2, 2003||Sep 6, 2005||Cierra, Inc.||Energy based devices and methods for treatment of patent foramen ovale|
|US7033348 *||Apr 10, 2002||Apr 25, 2006||The Research Foundation Of The City University Of New York||Gelatin based on Power-gel™ as solders for Cr4+laser tissue welding and sealing of lung air leak and fistulas in organs|
|US7165552||Sep 18, 2003||Jan 23, 2007||Cierra, Inc.||Methods and apparatus for treatment of patent foramen ovale|
|US7186251||Feb 25, 2004||Mar 6, 2007||Cierra, Inc.||Energy based devices and methods for treatment of patent foramen ovale|
|US7189224||Mar 18, 2005||Mar 13, 2007||Intralase Corp.||System and method for improved material processing using a laser beam|
|US7252666||Feb 3, 2004||Aug 7, 2007||Sherwood Services Ag||Arterial hole closure apparatus|
|US7257450||Dec 2, 2004||Aug 14, 2007||Coaptus Medical Corporation||Systems and methods for securing cardiovascular tissue|
|US7293562||Jun 21, 2004||Nov 13, 2007||Cierra, Inc.||Energy based devices and methods for treatment of anatomic tissue defects|
|US7311701||Jan 23, 2004||Dec 25, 2007||Cierra, Inc.||Methods and apparatus for non-invasively treating atrial fibrillation using high intensity focused ultrasound|
|US7367975||Sep 27, 2004||May 6, 2008||Cierra, Inc.||Energy based devices and methods for treatment of anatomic tissue defects|
|US7455680||Nov 4, 2002||Nov 25, 2008||Boston Scientific Scimed, Inc.||Apparatus and method for inhibiting blood loss|
|US7473252||Oct 4, 2005||Jan 6, 2009||Coaptus Medical Corporation||Systems and methods for shrinking and/or securing cardiovascular tissue|
|US7637924||Dec 29, 2009||Terumo Kabushiki Kaisha||Methods and apparatus for treatment of patent foramen ovale|
|US7717313||Sep 30, 2005||May 18, 2010||Tyco Healthcare Group Lp||Surgical apparatus and structure for applying sprayable wound treatment material|
|US7727547||Apr 2, 2004||Jun 1, 2010||Tissuemed Limited||Tissue-adhesive formulations|
|US7744624||Oct 14, 2005||Jun 29, 2010||Tyco Healthcare Group Lp||Extraluminal sealant applicator and method|
|US7875043||Jan 25, 2011||Sub-Q, Inc.||Cinching loop|
|US7886951||Nov 24, 2008||Feb 15, 2011||Tyco Healthcare Group Lp||Pouch used to deliver medication when ruptured|
|US7914527||Aug 17, 2006||Mar 29, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US7922716||Apr 12, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of anatomic tissue defects|
|US7922743||Apr 12, 2011||Tyco Healthcare Group Lp||Structure for applying sprayable wound treatment material|
|US7923031||Jan 28, 2005||Apr 12, 2011||Ferrosan Medical Devices A/S||Haemostatic sprays and compositions|
|US7923431||Dec 23, 2002||Apr 12, 2011||Ferrosan Medical Devices A/S||Haemostatic kit, a method of preparing a haemostatic agent and a method of promoting haemostatis|
|US7955288||Dec 11, 2003||Jun 7, 2011||Ferrosan Medical Devices A/S||Gelatine-based materials as swabs|
|US7972330||Jul 5, 2011||Terumo Kabushiki Kaisha||Methods and apparatus for closing a layered tissue defect|
|US7972357||Jul 5, 2011||Tyco Healthcare Group Lp||Extraluminal sealant applicator and method|
|US8016849||Oct 14, 2005||Sep 13, 2011||Tyco Healthcare Group Lp||Apparatus for applying wound treatment material using tissue-penetrating needles|
|US8021359||Sep 20, 2011||Coaptus Medical Corporation||Transseptal closure of a patent foramen ovale and other cardiac defects|
|US8021362||Sep 20, 2011||Terumo Kabushiki Kaisha||Methods and apparatus for closing a layered tissue defect|
|US8021684||Jul 7, 2005||Sep 20, 2011||Ferrosan Medical Devices A/S||Haemostatic composition comprising hyaluronic acid|
|US8038669||Oct 18, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8038671||Oct 18, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8038672||Jun 21, 2006||Oct 18, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8038673||Oct 18, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8050741||Nov 1, 2011||Boston Scientific Scimed, Inc.||Device and method for facilitating hemostasis of a biopsy tract|
|US8052677||May 28, 2004||Nov 8, 2011||Coaptus Medical Corporation||Transseptal left atrial access and septal closure|
|US8052678||Nov 8, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8057469||Nov 15, 2011||Terumo Kabushiki Kaisha||Methods and apparatus for treatment of patent foramen ovale|
|US8066169||Nov 29, 2011||Tyco Healthcare Group Lp||Structure containing wound treatment material|
|US8066701||Jun 21, 2006||Nov 29, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8070747||Jun 21, 2006||Dec 6, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8075554||Jun 21, 2006||Dec 13, 2011||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8092820||Jan 10, 2012||Baxter International Inc.||Dry hemostatic compositions and methods for their preparation|
|US8096458||Jan 17, 2012||Tyco Healthcare Group Lp||Pouch used to deliver medication when ruptured|
|US8109274||Feb 7, 2012||Terumo Kabushiki Kaisha||Methods and electrode apparatus to achieve a closure of a layered tissue defect|
|US8133221||Jun 29, 2007||Mar 13, 2012||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of anatomic tissue defects|
|US8133336||Feb 2, 2007||Mar 13, 2012||Tissuemed Limited||Tissue-adhesive materials|
|US8133504||Jul 29, 2005||Mar 13, 2012||Tissuemed Limited||Tissue-adhesive materials|
|US8157830||Apr 17, 2012||Tyco Healthcare Group Lp||Apparatus for applying wound treatment material using tissue-penetrating needles|
|US8187625||May 29, 2012||Boston Scientific Scimed, Inc.||Cross-linked gelatin composition comprising a wetting agent|
|US8201720||Jun 19, 2012||Tyco Healthcare Group Lp||Pouch used to deliver medication when ruptured|
|US8225981||Jul 24, 2012||Tyco Healthcare Group Lp||Surgical apparatus and structure for applying sprayable wound treatment material|
|US8263102||Sep 28, 2005||Sep 11, 2012||Atrium Medical Corporation||Drug delivery coating for use with a stent|
|US8281975||Mar 31, 2010||Oct 9, 2012||Tyco Healthcare Group Lp||Surgical apparatus and structure for applying sprayable wound treatment material|
|US8283320||Oct 9, 2012||Ferrosan Medical Devices A/S||Haemostatic kit, a method of preparing a haemostatic agent and a method of promoting haemostasis|
|US8303981||Jul 1, 2011||Nov 6, 2012||Baxter International Inc.||Fragmented polymeric compositions and methods for their use|
|US8312836||Nov 20, 2012||Atrium Medical Corporation||Method and apparatus for application of a fresh coating on a medical device|
|US8322588||Dec 4, 2012||Covidien Lp||Structure containing wound treatment material|
|US8353930||Oct 21, 2010||Jan 15, 2013||Covidien Lp||Structure for applying sprayable wound treatment material|
|US8357378||May 24, 2011||Jan 22, 2013||Baxter International Inc.||Fragmented polymeric compositions and methods for their use|
|US8367099||Feb 5, 2013||Atrium Medical Corporation||Perforated fatty acid films|
|US8367388||Jun 18, 2009||Feb 5, 2013||Lifebond Ltd.||Cross-linked compositions|
|US8383141||Jul 21, 2008||Feb 26, 2013||Baxter International Inc.||Dry hemostatic compositions and methods for their preparation|
|US8414907||Apr 9, 2013||Warsaw Orthopedic, Inc.||Coatings on medical implants to guide soft tissue healing|
|US8430291||Mar 3, 2011||Apr 30, 2013||Covidien Lp||Structure for applying sprayable wound treatment material|
|US8449571||May 28, 2013||Covidien Lp||Extraluminal sealant applicator and method|
|US8465485||Sep 16, 2011||Jun 18, 2013||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of patent foramen ovale|
|US8480705||Jun 3, 2011||Jul 9, 2013||Covidien Lp||Extraluminal sealant applicator and method|
|US8485414||Jun 26, 2012||Jul 16, 2013||Covidien Lp||Surgical apparatus and structure for applying sprayable wound treatment material|
|US8490853||Sep 10, 2012||Jul 23, 2013||Covidien Lp||Surgical apparatus and structure for applying sprayable wound treatment material|
|US8501229||Feb 24, 2012||Aug 6, 2013||Atrium Medical Corporation||Hydrophobic cross-linked gels for bioabsorbable drug carrier coatings|
|US8512729||Oct 31, 2012||Aug 20, 2013||Baxter International Inc.||Fragmented polymeric compositions and methods for their use|
|US8524270||May 22, 2012||Sep 3, 2013||Boston Scientific Scimed, Inc.||Cross-linked gelatin composition coated with a wetting agent|
|US8574618||Nov 21, 2012||Nov 5, 2013||Atrium Medical Corporation||Perforated bioabsorbable oil film and methods for making the same|
|US8574627||Oct 30, 2007||Nov 5, 2013||Atrium Medical Corporation||Coated surgical mesh|
|US8603511||Jan 18, 2013||Dec 10, 2013||Baxter International, Inc.||Fragmented polymeric compositions and methods for their use|
|US8616429||Nov 14, 2012||Dec 31, 2013||Covidien Lp||Structure containing wound treatment material|
|US8642831||Feb 27, 2009||Feb 4, 2014||Ferrosan Medical Devices A/S||Device for promotion of hemostasis and/or wound healing|
|US8703117||Jul 23, 2012||Apr 22, 2014||Lifebond Ltd.||Cross-linked compositions|
|US8703122||May 30, 2007||Apr 22, 2014||Baxter International Inc.||Method for directed cell in-growth and controlled tissue regeneration in spinal surgery|
|US8703170||Apr 7, 2011||Apr 22, 2014||Baxter International Inc.||Hemostatic sponge|
|US8722039||Dec 31, 2011||May 13, 2014||Lifebond Ltd.||Gelatin-transglutaminase hemostatic dressings and sealants|
|US8722077||Aug 24, 2012||May 13, 2014||Atrium Medical Corporation||Drug delivery coating for use with a stent|
|US8771258||Dec 16, 2010||Jul 8, 2014||Baxter International Inc.||Hemostatic sponge|
|US8790698||Oct 29, 2008||Jul 29, 2014||Baxter International Inc.||Use of a regenerative biofunctional collagen biomatrix for treating visceral or parietal defects|
|US8795703||Sep 28, 2005||Aug 5, 2014||Atrium Medical Corporation||Stand-alone film and methods for making the same|
|US8821523||Mar 3, 2011||Sep 2, 2014||Covidien Lp||Structure for applying sprayable wound treatment material|
|US8821918||Aug 15, 2013||Sep 2, 2014||Boston Scientific Scimed Inc.||Cross-linked gelatin composition comprising a wetting agent|
|US8834864||Dec 1, 2005||Sep 16, 2014||Baxter International Inc.||Methods for repairing and regenerating human dura mater|
|US8852181||Sep 14, 2007||Oct 7, 2014||Terumo Kabushiki Kaisha||Energy based devices and methods for treatment of anatomic tissue defects|
|US8858978||Sep 28, 2005||Oct 14, 2014||Atrium Medical Corporation||Heat cured gel and method of making|
|US8875970||Dec 6, 2013||Nov 4, 2014||Covidien Lp||Structure containing wound treatment material|
|US8940335||Jun 1, 2011||Jan 27, 2015||Baxter International Inc.||Process for making dry and stable hemostatic compositions|
|US8945176||May 8, 2013||Feb 3, 2015||Covidien Lp||Extraluminal sealant applicator and method|
|US8951282||Jun 14, 2013||Feb 10, 2015||Covidien Lp||Extraluminal sealant applicator and method|
|US8961544||Aug 5, 2011||Feb 24, 2015||Lifebond Ltd.||Dry composition wound dressings and adhesives comprising gelatin and transglutaminase in a cross-linked matrix|
|US8962023||Sep 28, 2005||Feb 24, 2015||Atrium Medical Corporation||UV cured gel and method of making|
|US8962025||Aug 1, 2007||Feb 24, 2015||Baxter International Inc.||Rapidly acting dry sealant and methods for use and manufacture|
|US9000040||Feb 3, 2009||Apr 7, 2015||Atrium Medical Corporation||Cross-linked fatty acid-based biomaterials|
|US9005609||Mar 30, 2010||Apr 14, 2015||Ethicon, Inc.||Hemostatic compositions containing sterile thrombin|
|US9012506||Dec 1, 2008||Apr 21, 2015||Atrium Medical Corporation||Cross-linked fatty acid-based biomaterials|
|US9017664||Dec 17, 2007||Apr 28, 2015||Lifebond Ltd.||Gelatin-transglutaminase hemostatic dressings and sealants|
|US9039783||May 18, 2009||May 26, 2015||Baxter International, Inc.||Method for the improvement of mesh implant biocompatibility|
|US9044456||Feb 25, 2014||Jun 2, 2015||Lifebond Ltd.||Cross-linked compositions|
|US9066991||Dec 22, 2010||Jun 30, 2015||Lifebond Ltd.||Modification of enzymatic crosslinkers for controlling properties of crosslinked matrices|
|US9084728||Jun 1, 2011||Jul 21, 2015||Baxter International Inc.||Process for making dry and stable hemostatic compositions|
|US9114172||Feb 28, 2013||Aug 25, 2015||Baxter International Inc.||Rapidly acting dry sealant and methods for use and manufacture|
|US9119901||Apr 28, 2005||Sep 1, 2015||Warsaw Orthopedic, Inc.||Surface treatments for promoting selective tissue attachment to medical impants|
|US9162006||Jun 16, 2010||Oct 20, 2015||Baxter International Inc.||Hemostatic sponge|
|US9220820||Jul 16, 2013||Dec 29, 2015||Atrium Medical Corporation||Hydrophobic cross-linked gels for bioabsorbable drug carrier coatings|
|US9242026||Jun 26, 2009||Jan 26, 2016||Sofradim Production||Biosynthetic implant for soft tissue repair|
|US9265858||Oct 17, 2014||Feb 23, 2016||Ferrosan Medical Devices A/S||Dry haemostatic composition|
|US9278161||Oct 19, 2009||Mar 8, 2016||Atrium Medical Corporation||Tissue-separating fatty acid adhesion barrier|
|US9308068||Dec 2, 2008||Apr 12, 2016||Sofradim Production||Implant for parastomal hernia|
|US20020016612 *||Sep 24, 2001||Feb 7, 2002||Mark Ashby||Device and method for facilitating hemostasis of a biopsy tract|
|US20020193448 *||Apr 21, 2000||Dec 19, 2002||Wallace Donald G.||Fragmented polymeric compositions and methods for their use|
|US20020198517 *||Apr 10, 2002||Dec 26, 2002||Alfano Robert R.||Gelatin based and Power-gelTM as solders for Cr4+ laser tissue welding and sealing of lung air leak and fistulas in organs|
|US20030088269 *||Nov 8, 2001||May 8, 2003||Sub-Q, Inc.||System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure|
|US20030212387 *||Mar 21, 2003||Nov 13, 2003||Intralase Corp.||System and method for improved material processing using a laser beam|
|US20040019328 *||Sep 26, 2002||Jan 29, 2004||Sing Eduardo Chi||System and method for delivering hemostasis promoting material to a blood vessel puncture site by fluid pressure|
|US20040049187 *||Oct 22, 2001||Mar 11, 2004||Stuart Burnett||Self-adhesive hydratable matrix for topical therapeutic use|
|US20040215231 *||Feb 5, 2001||Oct 28, 2004||David Fortune||Device for the closure of a surgical puncture|
|US20050089548 *||Nov 14, 2002||Apr 28, 2005||Virgalitto Margaret T.||Edible film|
|US20050106063 *||Oct 5, 2004||May 19, 2005||Mark Ashby||Methods for sterilizing cross-linked gelatin compositions|
|US20050165386 *||Mar 18, 2005||Jul 28, 2005||Intralase Corp.||System and method for improved material processing using a laser beam|
|US20060085031 *||Oct 14, 2005||Apr 20, 2006||Michael Bettuchi||Extraluminal sealant applicator and method|
|US20060085033 *||Sep 30, 2005||Apr 20, 2006||Criscuolo Christopher J||Surgical apparatus and structure for applying sprayable wound treatment material|
|US20060105026 *||Apr 2, 2004||May 18, 2006||Fortune David H||Tissue-adhesive formulations|
|US20060111738 *||Oct 14, 2005||May 25, 2006||Thomas Wenchell||Apparatus for applying wound treatment material using tissue-penetrating needles|
|US20060167561 *||Dec 1, 2005||Jul 27, 2006||Johann Odar||Methods for repairing and regenerating human dura mater|
|US20060247793 *||Apr 28, 2005||Nov 2, 2006||Sdgi Holdings, Inc.||Surface treatments for promoting selective tissue attachment to medical implants|
|US20070053987 *||Aug 31, 2006||Mar 8, 2007||Thomas Bayer||Cross-linked polysacharide and protein matrices and methods for their preparation|
|US20070286891 *||Jul 29, 2005||Dec 13, 2007||Tissuemed Limited||Tissue-Adhesive Materials|
|US20080125811 *||Dec 11, 2007||May 29, 2008||Tyco Healthcare Group Lp||Extraluminal sealant applicator and method|
|US20080140069 *||Jun 4, 2007||Jun 12, 2008||Cierra, Inc.||Multi-electrode apparatus for tissue welding and ablation|
|US20080187591 *||Aug 1, 2007||Aug 7, 2008||Baxter International, Inc.||Rapidly acting dry sealant and methods for use and manufacture|
|US20080286376 *||Jul 21, 2008||Nov 20, 2008||Fusion Medical Technologies, Inc.||Dry hemostatic compositions and methods for their preparation|
|US20090004455 *||Jun 27, 2007||Jan 1, 2009||Philippe Gravagna||Reinforced composite implant|
|US20090018575 *||Mar 1, 2007||Jan 15, 2009||Tissuemed Limited||Tissue-adhesive formulations|
|US20090142396 *||Oct 29, 2008||Jun 4, 2009||Baxter International Inc.||Use of a regenerative biofunctional collagen biomatrix for treating visceral or parietal defects|
|US20090216264 *||Sep 19, 2006||Aug 27, 2009||Friedman Paul A||Implantable closure apparatus and methods|
|US20090227779 *||May 19, 2009||Sep 10, 2009||Baxter International, Inc.||Dry hemostatic compositions and methods for their preparation|
|US20100028309 *||May 30, 2007||Feb 4, 2010||Baxter International Inc.||Method for directed cell in-growth and controlled tissue regeneration in spinal surgery|
|US20100029908 *||Feb 4, 2010||Boston Scientific Scimed, Inc.||Absorbable sponge with contrasting agent|
|US20100127039 *||Nov 24, 2008||May 27, 2010||Tyco Healthcare Group Lp||Pouch Used To Deliver Medication When Ruptured|
|US20100155454 *||Mar 2, 2010||Jun 24, 2010||Tyco Healthcare Group Lp||Structure containing wound treatment material|
|US20100183697 *||Oct 19, 2009||Jul 22, 2010||Atrium Medical Corporation||Tissue-separating fatty acid adhesion barrier|
|US20100204641 *||Aug 12, 2010||Tyco Healthcare Group Lp||Apparatus for Applying Wound Treatment Material Using Tissue-Penetrating Needles|
|US20100204728 *||Apr 22, 2010||Aug 12, 2010||Tyco Healthcare Group Lp||Extraluminal Sealant Applicator and Method|
|US20100230466 *||Sep 16, 2010||Tyco Healthcare Group Lp||Surgical apparatus and structure for applying sprayable wound treatment material|
|US20100230467 *||Sep 16, 2010||Tyco Healthcare Group Lp||Surgical Apparatus and Structure for Applying Sprayable Wound Treatment Material|
|US20100292717 *||Nov 18, 2010||Baxter International Inc.||Method for the improvement of mesh implant biocompatibility|
|US20100318048 *||Dec 16, 2010||Baxter International Inc.||Hemostatic sponge|
|US20110027335 *||Aug 11, 2008||Feb 3, 2011||Tissuemed Limited||Coated medical devices|
|US20110036889 *||Feb 17, 2011||Tyco Healthcare Group Lp||Structure for applying sprayable wound treatment material|
|US20110086014 *||Jun 18, 2009||Apr 14, 2011||Ishay Attar||Method for enzymatic cross-linking of a protein|
|US20110089219 *||Apr 21, 2011||Tyco Healthcare Group Lp||Pouch used to deliver medication when ruptured|
|US20110110882 *||Jun 18, 2009||May 12, 2011||Orahn Preiss-Bloom||Cross-linked compositions|
|US20110112573 *||Jun 18, 2009||May 12, 2011||Orahn Preiss Bloom||Methods and devices for use with sealants|
|US20110114701 *||May 19, 2011||Tyco Healthcare Group Lp||Pouch Used To Deliver Medication When Ruptured|
|US20110147432 *||Jun 23, 2011||Tyco Healthcare Group Lp D/B/A Covidien||Structure for applying sprayable wound treatment material|
|US20110147435 *||Jun 23, 2011||Tyco Healthcare Group Lp D/B/A Covidien||Structure for applying sprayable wound treatment material|
|US20110202026 *||Dec 16, 2010||Aug 18, 2011||Baxter International Inc.||Hemostatic sponge|
|US20110238097 *||Sep 29, 2011||Tyco Healthcare Group Lp||Extraluminal Sealant Applicator And Method|
|USRE43134||Jan 24, 2012||Providence Health System - Oregon||Biocompatible denatured albumin lamina|
|EP1561426A1 *||Feb 2, 2005||Aug 10, 2005||Sherwood Services AG||Arterial hole closure apparatus|
|EP1812022A2 *||Sep 28, 2005||Aug 1, 2007||Atrium Medical Corporation||Stand-alone film and methods for making the same|
|WO2002087636A1 *||Mar 11, 2002||Nov 7, 2002||Sub-Q, Inc.||Methods for sterilizing cross-linked gelatin compositions|
|WO2006036984A2||Sep 28, 2005||Apr 6, 2006||Atrium Medical Corporation||Stand-alone film and methods for making the same|
|WO2014172572A1 *||Apr 17, 2014||Oct 23, 2014||Board Of Regents, The University Of Texas System||Antimicrobial wraps for medical implants|
|U.S. Classification||128/898, 606/229|
|International Classification||A61L24/10, A61B17/00, A61B17/11, A61B17/072, A61L15/32, A61L31/04, A61L31/14, A61B18/00, A61B19/00, A61L31/06|
|Cooperative Classification||A61B17/00491, A61L31/141, A61L31/043, A61L15/325, A61B17/11, A61L31/042, A61L24/104, A61B18/042, A61L31/148, A61B17/07292, A61B2017/00504, A61L31/045, A61L31/06, A61L15/32, A61B2090/0816|
|European Classification||A61L31/06, A61L15/32, A61L15/32A, A61L31/14B, A61L31/04D, A61B17/00L, A61L31/14K, A61L31/04F, A61L31/04F4, A61B17/11, A61L24/10E|
|Feb 6, 1997||AS||Assignment|
Owner name: FUSION MEDICAL TECHNOLOGIES, INC., CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:REICH, CARY J.;WALLACE, DONALD G.;DAPPER, GREG;REEL/FRAME:008436/0068;SIGNING DATES FROM 19970125 TO 19970130
|Jan 31, 2003||FPAY||Fee payment|
Year of fee payment: 4
|Feb 21, 2007||REMI||Maintenance fee reminder mailed|
|Aug 3, 2007||LAPS||Lapse for failure to pay maintenance fees|
|Sep 25, 2007||FP||Expired due to failure to pay maintenance fee|
Effective date: 20070803
|May 13, 2010||AS||Assignment|
Owner name: BAXTER INTERNATIONAL INC.,ILLINOIS
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:BAXTER HEALTHCARE CORPORATION;REEL/FRAME:024383/0257
Effective date: 20100422
Owner name: BAXTER HEALTHCARE CORPORATION,ILLINOIS
Free format text: MERGER;ASSIGNOR:FUSION MEDICAL TECHNOLOGIES, INC.;REEL/FRAME:024381/0522
Effective date: 20020627
Owner name: BAXTER HEALTHCARE S.A.,SWITZERLAND
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:BAXTER HEALTHCARE CORPORATION;REEL/FRAME:024383/0257
Effective date: 20100422